Individual
MRS. HANNEKE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3135 BOUNTIFUL BLVD, BOUNTIFUL, UT 84010-3208
(801) 201-9297
Mailing address
3135 BOUNTIFUL BLVD, BOUNTIFUL, UT 84010-3208
(801) 201-9297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
69082634701
UT
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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